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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:' Permit Number: IJ -Gd Building Permit Application DEC 1 12017 Planning and Development Services R�, - i,,](37- Building - Building and Code Regulation Division Lucie ,1 my, ` St. Lucie Count}•, F 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Aluminum with concrete PROPOSED IMPROVEMENT LOCATION: Address: 14114 CISNE CIR Legal Description: SPANISH LAKES FAIRWAYS Property Tax ID#: 1306-111-0001-000-0 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front 38 FT Back: 15 FT Right Side: 20 FT Left Side: 33 FT DETAILED DESCRIPTION OF WORK: INSTALL A NEW 10 FT X 20 FT SCREEN ROOM UNDER EXISTING C.B.S HOUSE ROOF ON EXISTING CONCRETE. CONSTRUCTION INFORMATION: Additional work toe e orme under this permit—check a appy: HVAC F]Gas Tank F]Gas Piping _Shutters Windows/Doors ❑Electric ❑ Plumbing Sprinklers ❑Generator Roof Total Sq. Ft of Construction: 200 S . Ft. of First Floor: Cost of Construction: $ 1350.00 Utilities:n Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name WYNN BUILDING CORP Name: PATRICK DIFRANCESCO Address:8000 S. US 1 Company: TRI-COUNTY ALUMINUM,INC City: PORT ST. LUCIE State:FL Address: 5512 SEAGRAPE DR. Zip Code: 34951 Fax: City: FORT PIERCE State:FL Phone No.772-828-5516 Zip Code: 34982 Fax: 772-461-0993 E-Mail: Phone No. OFFICE 772-461-0993 CELL 772-216-7780 Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County License: 24444 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i I I SUPPLEMENTAL ONSTRUCTiON LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY. Not Applicable Name: Name: Address: Address: City: I _State: FL City; State: Zip: _Phone: Zip: Phone: FEE SIMPLE TITLE OLDER: _Not Applicable BONDING COMPANY: Not Applicable Narne: Name: Address: I _ _ Address: City: I City: Zip: Phone: Zip: Phone; I certify that no work o installation has commenced prior to the issuance of a permit St. Lucie County makes to representation that is granting a permit will authorize the tiermit holder to build the subject structure which is in 4onflict with any applicable Home Owners Association rules,bylaws or an covenants that may restrict or prohibit such Structure.Please consu t'with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit,I do hereby agree that I will in ail respects,perform the work In accordance with the'approved plans,the Florida Building Codes and St.Lucie County Amendments. The following buildingR ermit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,Trnming pools,fences,walls,signs,screen rooms and accesso uses to another non-resldential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for improvements to y6ur property.A Notice of Commencement must be recorded and pasted on the jobsite before the first insdection. if you intend to obtain.fiaancing,consult wi h lender or an attorney before commencing work 0r recordingour Notice of tommen`erne 'Z. l Signature of Owner nt/lessee 'Si' nature o Contr ctor/License Holder " STATE OF FLORIDAAA_ STATE OF FLOR DA - f COUNTY OF COUNTY OF W-. The forgoing instrume t was acknowledged before me j z The forgoing instr ment was acknowledged before me 1 this-�4—day of 20,�by `_ this/,1,��day of 20 by j 1 eSC tt ;PI � 1 Gt�iy (Name of person acknowledging) (Name of person a knowledging) (Signature of o ary P Iblic-Slate of FIo da) (Signature of N Public-State of Florida) Personally Known OR Produced Identification Personally Known /OR Produced Identification Type of Identification roduced _ __ Type of Identificat on Produced Commission No. (seal) Commission No. (Seal) Revised 07/15/20 4 REVIEWS FRONT ZONING SUPERVISOR PLANS V4VIEW STATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS